Provider Demographics
NPI:1487868881
Name:CELONA, JOHN PAUL (DMD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PAUL
Last Name:CELONA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:15702 CROSSBAY BLVD
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-2750
Mailing Address - Country:US
Mailing Address - Phone:718-323-5437
Mailing Address - Fax:718-323-4845
Practice Address - Street 1:15702 CROSSBAY BLVD
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-2750
Practice Address - Country:US
Practice Address - Phone:718-323-5437
Practice Address - Fax:718-323-4845
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2013-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0445111223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry